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South Dakota rates for HCPCS 52281

Cysto Calibration Dilat Urtl Strix/Stenosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.47 / $325.02 / $325.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.13 / $324.07 / $503.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.13 / $514.86 / $885.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.62 / $408.11 / $786.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.98 / $768.85 / $3,788.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.28 / $685.55 / $1,679.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.58 / $553.02 / $884.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.65 / $440.44 / $593.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.54 / $581.90 / $905.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.39 / $356.50 / $720.80